NPIMap

Organization Active NPI

Physicians Health Alliance Inc

  • Infectious Disease Physician
  • Scranton, PA
National Provider Identifier
1689976730
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
PHYSICIANS HEALTH ALLIANCE INC
Practice address
748 Quincy Ave
1A
Scranton, PA 18510-1739
Phone
(570) 342-5253
Fax
(570) 342-6038
NPI assigned
Nov 23, 2010
Last updated
Oct 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Kane
Title
Coo
Phone
(570) 969-9005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

748 Quincy Ave
1A
Scranton, PA 18510-1739

Mailing address

1401 Electric St
Dunmore, PA 18509-2098
Phone (570) 969-9005

Other identifiers 2

IdentifierTypeStateIssuer
2563602OtherPABLUE SHIELD
1007712910043MedicaidPA

National Provider Directory

National Provider Directory

Locations

748 Quincy Ave
#1A
Scranton, PA 18510
Phone (570) 347-9600

748 Quincy Ave
Ste 2A
Scranton, PA 18510
Phone (570) 961-0851

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 58

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1689976730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ELECTRIC ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092098",
            "telephone_number": "570-969-9005",
            "fax_number": "570-207-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 QUINCY AVE",
            "address_2": "1A",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101739",
            "telephone_number": "570-342-5253",
            "fax_number": "570-342-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HEALTH ALLIANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "570-969-9005"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2563602",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007712910043",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.